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Research Letter
June 9, 2021

Barriers to Physician-Based Skin Examinations for Adolescent and Young Adult Survivors of Melanoma in the Project Forward Study

Author Affiliations
  • 1Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington
  • 2Department of Epidemiology, School of Public Health, University of Washington, Seattle
  • 3Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles
  • 4Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles,
  • 5Department of Dermatology, College of Medicine, University of Nebraska Medical Center, Omaha
  • 6Department of Epidemiology and Biostatistics, Program in Public Health, Susan & Henry Samueli College of Health Sciences, University of California, Irvine
JAMA Dermatol. Published online June 9, 2021. doi:10.1001/jamadermatol.2021.1850

More than 7000 melanomas are diagnosed annually among US adolescents and young adults (AYAs, defined as 15-39 years old at diagnosis),1 resulting in a large constituency of AYA survivors. This population is understudied and at higher risk of subsequent melanomas compared with older populations.2 Because risk remains elevated beyond 2 decades after an initial melanoma,2 annual physician-based skin examinations (PSEs) are recommended.3 Thus, suboptimal PSE adherence is a concern among AYA melanoma survivors,4 and barriers to health care and/or PSE access need identification. We examined associations between barriers and lack of PSEs in a population-based sample of young melanoma survivors.

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